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The article outlines the issue of endometrioid disease, known as a complex gynecological polyetiological pathology. The total coverage of this pathology among women is 10%, with its spread up to 70% among women of reproductive age. The diversity and severity of clinical symptoms worsen not only the physical condition of the woman, but emotional status as well. To date, complicacy in the diagnosis and treatment of the disease gives raise a number of challenges requiring solution. Thus, endometriosis is still remaining a promising area of study, The aim of this study was to characterize the features of the anamnesis and symptoms of women with endometriosis, to determine the diagnostic value of the examination methods, to evaluate the effectiveness of the treatment tactics of women with this pathology. We carried out a retrospective analysis of case histories of 61 women with endometriosis. The diagnosis was 100% histologically confirmed. The average age of the women studied was 30,44 ± 5,6 years. Body mass index was 23,04 ±3,87 kg / m2. 16 women (26.22%) were diagnosed as overweight; 1st degree obesity was found in 2 women (3,27%). The onset of menstruation averaged 13,04 ± 1.07 years. Late onset of menarche was found out in 2 women (3,21%). The duration of menstruation ranged from 4,67 ±1.44 to 5,37 ±1,29 days with 1 reported case of menstrual bleeding for more than 8 days. 55,7% of women reported excessive menstrual blood loss. The interval of the menstrual cycle ranged from 21 to 32 days, was regular and amounted to 27,6±2.31 days. 47,54% of women experienced pain during menstruation. The increasing intensity of the pain syndrome from the moment of diagnosis was noted by 14 women, that made up to 48,27% of cases among 29 women with endometriosis and painful menstruation. There were 22 cases of pregnancy; miscarriages were recorded in 2 women (9,09%). 20 women (32,7%) had infertility, and in all the cases infertility was primary. When assessing the position of the u

The article outlines the issue of endometrioid disease, known as a complex gynecological polyetiological pathology. The total coverage of this pathology among women is 10%, with its spread up to 70% among women of reproductive age. The diversity and severity of clinical symptoms worsen not only the physical condition of the woman, but emotional status as well. To date, complicacy in the diagnosis and treatment of the disease gives raise a number of challenges requiring solution. Thus, endometriosis is still remaining a promising area of study, The aim of this study was to characterize the features of the anamnesis and symptoms of women with endometriosis, to determine the diagnostic value of the examination methods, to evaluate the effectiveness of the treatment tactics of women with this pathology. We carried out a retrospective analysis of case histories of 61 women with endometriosis. The diagnosis was 100% histologically confirmed. The average age of the women studied was 30,44 ± 5,6 years. Body mass index was 23,04 ±3,87 kg / m2. 16 women (26.22%) were diagnosed as overweight; 1st degree obesity was found in 2 women (3,27%). The onset of menstruation averaged 13,04 ± 1.07 years. Late onset of menarche was found out in 2 women (3,21%). The duration of menstruation ranged from 4,67 ±1.44 to 5,37 ±1,29 days with 1 reported case of menstrual bleeding for more than 8 days. 55,7% of women reported excessive menstrual blood loss. The interval of the menstrual cycle ranged from 21 to 32 days, was regular and amounted to 27,6±2.31 days. 47,54% of women experienced pain during menstruation. The increasing intensity of the pain syndrome from the moment of diagnosis was noted by 14 women, that made up to 48,27% of cases among 29 women with endometriosis and painful menstruation. There were 22 cases of pregnancy; miscarriages were recorded in 2 women (9,09%). 20 women (32,7%) had infertility, and in all the cases infertility was primary. When assessing the position of the u

The article outlines the issue of endometrioid disease, known as a complex gynecological polyetiological pathology. The total coverage of this pathology among women is 10%, with its spread up to 70% among women of reproductive age. The diversity and severity of clinical symptoms worsen not only the physical condition of the woman, but emotional status as well. To date, complicacy in the diagnosis and treatment of the disease gives raise a number of challenges requiring solution. Thus, endometriosis is still remaining a promising area of study, The aim of this study was to characterize the features of the anamnesis and symptoms of women with endometriosis, to determine the diagnostic value of the examination methods, to evaluate the effectiveness of the treatment tactics of women with this pathology. We carried out a retrospective analysis of case histories of 61 women with endometriosis. The diagnosis was 100% histologically confirmed. The average age of the women studied was 30,44 ± 5,6 years. Body mass index was 23,04 ±3,87 kg / m2. 16 women (26.22%) were diagnosed as overweight; 1st degree obesity was found in 2 women (3,27%). The onset of menstruation averaged 13,04 ± 1.07 years. Late onset of menarche was found out in 2 women (3,21%). The duration of menstruation ranged from 4,67 ±1.44 to 5,37 ±1,29 days with 1 reported case of menstrual bleeding for more than 8 days. 55,7% of women reported excessive menstrual blood loss. The interval of the menstrual cycle ranged from 21 to 32 days, was regular and amounted to 27,6±2.31 days. 47,54% of women experienced pain during menstruation. The increasing intensity of the pain syndrome from the moment of diagnosis was noted by 14 women, that made up to 48,27% of cases among 29 women with endometriosis and painful menstruation. There were 22 cases of pregnancy; miscarriages were recorded in 2 women (9,09%). 20 women (32,7%) had infertility, and in all the cases infertility was primary. When assessing the position of the u

The article outlines the issue of endometrioid disease, known as a complex gynecological polyetiological pathology. The total coverage of this pathology among women is 10%, with its spread up to 70% among women of reproductive age. The diversity and severity of clinical symptoms worsen not only the physical condition of the woman, but emotional status as well. To date, complicacy in the diagnosis and treatment of the disease gives raise a number of challenges requiring solution. Thus, endometriosis is still remaining a promising area of study, The aim of this study was to characterize the features of the anamnesis and symptoms of women with endometriosis, to determine the diagnostic value of the examination methods, to evaluate the effectiveness of the treatment tactics of women with this pathology. We carried out a retrospective analysis of case histories of 61 women with endometriosis. The diagnosis was 100% histologically confirmed. The average age of the women studied was 30,44 ± 5,6 years. Body mass index was 23,04 ±3,87 kg / m2. 16 women (26.22%) were diagnosed as overweight; 1st degree obesity was found in 2 women (3,27%). The onset of menstruation averaged 13,04 ± 1.07 years. Late onset of menarche was found out in 2 women (3,21%). The duration of menstruation ranged from 4,67 ±1.44 to 5,37 ±1,29 days with 1 reported case of menstrual bleeding for more than 8 days. 55,7% of women reported excessive menstrual blood loss. The interval of the menstrual cycle ranged from 21 to 32 days, was regular and amounted to 27,6±2.31 days. 47,54% of women experienced pain during menstruation. The increasing intensity of the pain syndrome from the moment of diagnosis was noted by 14 women, that made up to 48,27% of cases among 29 women with endometriosis and painful menstruation. There were 22 cases of pregnancy; miscarriages were recorded in 2 women (9,09%). 20 women (32,7%) had infertility, and in all the cases infertility was primary. When assessing the position of the u

The article outlines the issue of endometrioid disease, known as a complex gynecological polyetiological pathology. The total coverage of this pathology among women is 10%, with its spread up to 70% among women of reproductive age. The diversity and severity of clinical symptoms worsen not only the physical condition of the woman, but emotional status as well. To date, complicacy in the diagnosis and treatment of the disease gives raise a number of challenges requiring solution. Thus, endometriosis is still remaining a promising area of study, The aim of this study was to characterize the features of the anamnesis and symptoms of women with endometriosis, to determine the diagnostic value of the examination methods, to evaluate the effectiveness of the treatment tactics of women with this pathology. We carried out a retrospective analysis of case histories of 61 women with endometriosis. The diagnosis was 100% histologically confirmed. The average age of the women studied was 30,44 ± 5,6 years. Body mass index was 23,04 ±3,87 kg / m2. 16 women (26.22%) were diagnosed as overweight; 1st degree obesity was found in 2 women (3,27%). The onset of menstruation averaged 13,04 ± 1.07 years. Late onset of menarche was found out in 2 women (3,21%). The duration of menstruation ranged from 4,67 ±1.44 to 5,37 ±1,29 days with 1 reported case of menstrual bleeding for more than 8 days. 55,7% of women reported excessive menstrual blood loss. The interval of the menstrual cycle ranged from 21 to 32 days, was regular and amounted to 27,6±2.31 days. 47,54% of women experienced pain during menstruation. The increasing intensity of the pain syndrome from the moment of diagnosis was noted by 14 women, that made up to 48,27% of cases among 29 women with endometriosis and painful menstruation. There were 22 cases of pregnancy; miscarriages were recorded in 2 women (9,09%). 20 women (32,7%) had infertility, and in all the cases infertility was primary. When assessing the position of the u

The article outlines the issue of endometrioid disease, known as a complex gynecological polyetiological pathology. The total coverage of this pathology among women is 10%, with its spread up to 70% among women of reproductive age. The diversity and severity of clinical symptoms worsen not only the physical condition of the woman, but emotional status as well. To date, complicacy in the diagnosis and treatment of the disease gives raise a number of challenges requiring solution. Thus, endometriosis is still remaining a promising area of study, The aim of this study was to characterize the features of the anamnesis and symptoms of women with endometriosis, to determine the diagnostic value of the examination methods, to evaluate the effectiveness of the treatment tactics of women with this pathology. We carried out a retrospective analysis of case histories of 61 women with endometriosis. The diagnosis was 100% histologically confirmed. The average age of the women studied was 30,44 ± 5,6 years. Body mass index was 23,04 ±3,87 kg / m2. 16 women (26.22%) were diagnosed as overweight; 1st degree obesity was found in 2 women (3,27%). The onset of menstruation averaged 13,04 ± 1.07 years. Late onset of menarche was found out in 2 women (3,21%). The duration of menstruation ranged from 4,67 ±1.44 to 5,37 ±1,29 days with 1 reported case of menstrual bleeding for more than 8 days. 55,7% of women reported excessive menstrual blood loss. The interval of the menstrual cycle ranged from 21 to 32 days, was regular and amounted to 27,6±2.31 days. 47,54% of women experienced pain during menstruation. The increasing intensity of the pain syndrome from the moment of diagnosis was noted by 14 women, that made up to 48,27% of cases among 29 women with endometriosis and painful menstruation. There were 22 cases of pregnancy; miscarriages were recorded in 2 women (9,09%). 20 women (32,7%) had infertility, and in all the cases infertility was primary. When assessing the position of the u

The article outlines the issue of endometrioid disease, known as a complex gynecological polyetiological pathology. The total coverage of this pathology among women is 10%, with its spread up to 70% among women of reproductive age. The diversity and severity of clinical symptoms worsen not only the physical condition of the woman, but emotional status as well. To date, complicacy in the diagnosis and treatment of the disease gives raise a number of challenges requiring solution. Thus, endometriosis is still remaining a promising area of study, The aim of this study was to characterize the features of the anamnesis and symptoms of women with endometriosis, to determine the diagnostic value of the examination methods, to evaluate the effectiveness of the treatment tactics of women with this pathology. We carried out a retrospective analysis of case histories of 61 women with endometriosis. The diagnosis was 100% histologically confirmed. The average age of the women studied was 30,44 ± 5,6 years. Body mass index was 23,04 ±3,87 kg / m2. 16 women (26.22%) were diagnosed as overweight; 1st degree obesity was found in 2 women (3,27%). The onset of menstruation averaged 13,04 ± 1.07 years. Late onset of menarche was found out in 2 women (3,21%). The duration of menstruation ranged from 4,67 ±1.44 to 5,37 ±1,29 days with 1 reported case of menstrual bleeding for more than 8 days. 55,7% of women reported excessive menstrual blood loss. The interval of the menstrual cycle ranged from 21 to 32 days, was regular and amounted to 27,6±2.31 days. 47,54% of women experienced pain during menstruation. The increasing intensity of the pain syndrome from the moment of diagnosis was noted by 14 women, that made up to 48,27% of cases among 29 women with endometriosis and painful menstruation. There were 22 cases of pregnancy; miscarriages were recorded in 2 women (9,09%). 20 women (32,7%) had infertility, and in all the cases infertility was primary. When assessing the position of the u

Implementation of endoscopic methods into the clinical practice with the use of technical facilities became the new stage in diagnostics and treatment of disorders of women’s reproductive function; it made it possible to expand the indications, improve the treatment results and develop new, more rational reconstructive and organ-preserving surgeries. Objective of this study consists in the performance evaluation of laparoscopic method of surgical treatment and diagnostics in women with disorders of reproductive function. We carried out the retrospective analysis of clinical records and surgery protocols of patients after laparoscopies performed in Poltava Central Regional Hospital, which is the clinical base of the Department of Obstetrics and Gynecology No. 1 of UMSA. The analysis of 1003 women who had laparoscopic surgeries was performed; among them there were 231 women (23%) with infertility. The age of examined patients varied from 19 to 35 years and it was 27.5 at average. In majority of patients the duration of infertile period was 2-3 years (64.8%). One third part of examined women did not get pregnant for 1-2 years with regular sexual activity (26.6%). There was absence of pregnancy during 10-12 months in 1.9% of women and more than 3 years – in 6.7% of women. 145 (63%) patients who had fertility-associated surgeries got pregnant. In the patients with endometriosis the infertility was observed in 73 cases (49%). After surgical and conservative treatment pregnancy occurred in 50 cases (68%). Endoscopy in combination with other methods is one of the main components of diagnostics and treatment of reproductive function disorders. Efficiency of laparoscopy in the recovery of fertility of the patients with tuboperitoneal infertility, endometriosis and syndrome of polycystic ovaries is quite high and equals to 63%. Key words: laparoscopy, endoscopy, infertility, endometriosis, benign tumors of ovaries, fertility.

Implementation of endoscopic methods into the clinical practice with the use of technical facilities became the new stage in diagnostics and treatment of disorders of women’s reproductive function; it made it possible to expand the indications, improve the treatment results and develop new, more rational reconstructive and organ-preserving surgeries. Objective of this study consists in the performance evaluation of laparoscopic method of surgical treatment and diagnostics in women with disorders of reproductive function. We carried out the retrospective analysis of clinical records and surgery protocols of patients after laparoscopies performed in Poltava Central Regional Hospital, which is the clinical base of the Department of Obstetrics and Gynecology No. 1 of UMSA. The analysis of 1003 women who had laparoscopic surgeries was performed; among them there were 231 women (23%) with infertility. The age of examined patients varied from 19 to 35 years and it was 27.5 at average. In majority of patients the duration of infertile period was 2-3 years (64.8%). One third part of examined women did not get pregnant for 1-2 years with regular sexual activity (26.6%). There was absence of pregnancy during 10-12 months in 1.9% of women and more than 3 years – in 6.7% of women. 145 (63%) patients who had fertility-associated surgeries got pregnant. In the patients with endometriosis the infertility was observed in 73 cases (49%). After surgical and conservative treatment pregnancy occurred in 50 cases (68%). Endoscopy in combination with other methods is one of the main components of diagnostics and treatment of reproductive function disorders. Efficiency of laparoscopy in the recovery of fertility of the patients with tuboperitoneal infertility, endometriosis and syndrome of polycystic ovaries is quite high and equals to 63%. Key words: laparoscopy, endoscopy, infertility, endometriosis, benign tumors of ovaries, fertility.

The level of antenatal fetal death (AFD) among perinatal losses remains high and is almost 50%. In Ukraine, the level of AFD is 54%. Detection of the main cause of AFD remains a difficult task in 60% of cases of stillbirth, despite on the using of modern methods in diagnosing the causes of fetal death. Presently increasing frequency of intrauterine infections (IUI) is obvious in the structure of both obstetric and perinatal pathology. A comprehensive assessment of the vaginal biocenosis, afterbirth, ultrasonography will allow the develop of a pathogenetic valid algorithm for the examination and monitoring of pregnant women, aimed at preventing antenatal fetal death. Purpose. Research the state of microbiocenosis of the vagina, morphological peculiarities of placenta’s structure, ultrasound data in pregnant women with antenatal fetal death. Object and methods. We examined 30 pregnant women with antenatal fetal death (main group) and 25 pregnant women with birth of live children (control group). We applied bacterioscopy, bacteriological methods, PCR-diagnostics from the cervical canal. Analysis of morphological characteristics and microbiological conclusions of 55 afterbirths (placenta, membranes, umbilical cord) were carried out. An ultrasound study was conducted to all pregnant women on the Toshiba (Eccocee) SSA-340 (Japan) device with a 3.5 MHz sensor frequency. Results and discussion. Women with AFD had 2.4 times higher morbidity rate than in the control group and the reproduction system was impaired 2,9 times higher than in the control group. Poligidramnios was diagnosed 5.8 times, oligohydramnios 3.1 times more often in the main group, compared with the control group (p <0,05). 80% (24/30) patients of the main group, have been detected with the conditionally pathogenic flora, 63.3% (19/30) of them have been detected in association with two, three, four kinds of aerobes and anaerobes, and the ureaplasma appeared 4,1 times, chlamydia in 3,3 times more often than i

Implementation of endoscopic methods into the clinical practice with the use of technical facilities became the new stage in diagnostics and treatment of disorders of women’s reproductive function; it made it possible to expand the indications, improve the treatment results and develop new, more rational reconstructive and organ-preserving surgeries. Objective of this study consists in the performance evaluation of laparoscopic method of surgical treatment and diagnostics in women with disorders of reproductive function. We carried out the retrospective analysis of clinical records and surgery protocols of patients after laparoscopies performed in Poltava Central Regional Hospital, which is the clinical base of the Department of Obstetrics and Gynecology No. 1 of UMSA. The analysis of 1003 women who had laparoscopic surgeries was performed; among them there were 231 women (23%) with infertility. The age of examined patients varied from 19 to 35 years and it was 27.5 at average. In majority of patients the duration of infertile period was 2-3 years (64.8%). One third part of examined women did not get pregnant for 1-2 years with regular sexual activity (26.6%). There was absence of pregnancy during 10-12 months in 1.9% of women and more than 3 years – in 6.7% of women. 145 (63%) patients who had fertility-associated surgeries got pregnant. In the patients with endometriosis the infertility was observed in 73 cases (49%). After surgical and conservative treatment pregnancy occurred in 50 cases (68%). Endoscopy in combination with other methods is one of the main components of diagnostics and treatment of reproductive function disorders. Efficiency of laparoscopy in the recovery of fertility of the patients with tuboperitoneal infertility, endometriosis and syndrome of polycystic ovaries is quite high and equals to 63%. Key words: laparoscopy, endoscopy, infertility, endometriosis, benign tumors of ovaries, fertility.

The level of antenatal fetal death (AFD) among perinatal losses remains high and is almost 50%. In Ukraine, the level of AFD is 54%. Detection of the main cause of AFD remains a difficult task in 60% of cases of stillbirth, despite on the using of modern methods in diagnosing the causes of fetal death. Presently increasing frequency of intrauterine infections (IUI) is obvious in the structure of both obstetric and perinatal pathology. A comprehensive assessment of the vaginal biocenosis, afterbirth, ultrasonography will allow the develop of a pathogenetic valid algorithm for the examination and monitoring of pregnant women, aimed at preventing antenatal fetal death. Purpose. Research the state of microbiocenosis of the vagina, morphological peculiarities of placenta’s structure, ultrasound data in pregnant women with antenatal fetal death. Object and methods. We examined 30 pregnant women with antenatal fetal death (main group) and 25 pregnant women with birth of live children (control group). We applied bacterioscopy, bacteriological methods, PCR-diagnostics from the cervical canal. Analysis of morphological characteristics and microbiological conclusions of 55 afterbirths (placenta, membranes, umbilical cord) were carried out. An ultrasound study was conducted to all pregnant women on the Toshiba (Eccocee) SSA-340 (Japan) device with a 3.5 MHz sensor frequency. Results and discussion. Women with AFD had 2.4 times higher morbidity rate than in the control group and the reproduction system was impaired 2,9 times higher than in the control group. Poligidramnios was diagnosed 5.8 times, oligohydramnios 3.1 times more often in the main group, compared with the control group (p <0,05). 80% (24/30) patients of the main group, have been detected with the conditionally pathogenic flora, 63.3% (19/30) of them have been detected in association with two, three, four kinds of aerobes and anaerobes, and the ureaplasma appeared 4,1 times, chlamydia in 3,3 times more often than i